UQP-22265-00540
4 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 920 / CA
- Registered
- 2021-10-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-02-13
Dose 2 — Moderna
-
2021-10-26
Registered in v-safe
-
2021-10-26
Dose 3 — Moderna
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Gingival pain — Feeling: Fair · Site: Pain, Redness · Fever · HeadacheFree text: Sore gums - worse yesterday but still soreMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-31
- 2021-11-01
- 2021-11-10
-
2021-11-16
Survey response — day 21, dose 3MedDRA: Gingival pain — Feeling: GoodFree text: The only weird thing I forgot to mention my last check in is that my gums have been usually sore since I got the vaccine- not sure if this is related or notMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-30
- 2021-12-07
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Tested Positive for Covid-19 December 19th- had moderate symptoms for 3 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-26
-
2022-09-27
Dose 4 — Pfizer-BioNTech
- 2022-09-27
-
2022-09-28
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-29
- 2022-09-30
- 2022-10-02
- 2022-10-04
- 2022-10-12
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-12-27
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | No |
| 2 | 2021-02-13 | Moderna | No |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-09-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-26 | Successful 2022-01-28 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore gums - worse yesterday but still sore
Release 10 — day 21, dose 3
Symptoms: The only weird thing I forgot to mention my last check in is that my gums have been usually sore since I got the vaccine- not sure if this is related or not
Release 11 — 3 months, dose 3
Symptoms: Tested Positive for Covid-19 December 19th- had moderate symptoms for 3 weeks
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Gingival pain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Gingival pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release